A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Do not take the medication longer than a week.

Liver enzymes should be checked before starting.

An increased risk of suicide is associated with this medication.

Consult the prescriber for any dose adjustments.

Do not take with anti-anxiety medications.

Answer and Explanation

Correct Answer : B,C,D,E

A. Anticonvulsants for chronic pain management are typically taken long-term and not limited to one week.

B. Many anticonvulsants are metabolized in the liver, so baseline liver function tests are necessary before starting therapy.

C. Anticonvulsants have been associated with an increased risk of suicidal ideation, and families should be advised to monitor for mood changes.

D. Any dose adjustments should be made under the supervision of the prescriber to prevent adverse effects.

E. Anticonvulsants can have sedative effects and should not be taken with anti-anxiety medications without medical supervision, as this can increase the risk of CNS depression.

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Correct Answer is D

Explanation

A. Infants typically achieve head control around 4 months of age, not 3 months.

B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.

C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.

D. The anterior fontanelle generally closes between 12 and 24 months of age.

A. The child avoids taking turns when playing with other children. B. The child shares one event that happened during their day with others. C. The child speaks with 2 words in a sentence. D. The child engages in imaginative play.

Correct Answer is C

Explanation

A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.

B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.

C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.

D. Engaging in imaginative play is expected and demonstrates cognitive and social development.

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A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about performing head and neck assessments of children. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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